NPI 1861690877

St. Gale's Manor

Organisation Point of Service Greensboro, NC

Practice location

Address: 1411 Lees Chapel Rd, Greensboro, NC 27405-1615
Phone: (336) 621-5336
Mailing address: PO Box 14982, Greensboro, NC 27415-4982

Authorised official

Name: James Jr. Lawson
Title: President
Phone: (336) 621-5336

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence HAL-041-023 (NC)

Other Point of Service providers in North Carolina →

Registry record

NPI: 1861690877
Entity type: Organization
NPI issued: 11 Jul 2007
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.